Individual
CLARA M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(214) 932-1030
(903) 257-0896
Mailing address
1717 MAIN ST, 5200, DALLAS, TX 75201-4612
(214) 932-1030
(903) 257-0896
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN06039
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN06039
LA STATE LICENSE
LA
Enumeration date
02/16/2010
Last updated
02/16/2010
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